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Organization
GAYTRI MANEK MD INC
Active
Organization
GAYTRI MANEK MD INC
Active
Other names
Gaytri Gandotra MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GAYTRI MANEK MD (OWNER)
(714) 435-0150
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, STE 271, FOUNTAIN VALLEY, CA 92708-7501
(714) 435-0150
(714) 436-0126
Mailing address
11180 WARNER AVE, STE 271, FOUNTAIN VALLEY, CA 92708-7501
(714) 435-0150
(714) 436-0126
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092700
—
CA
Enumeration date
04/29/2016
Last updated
08/14/2019
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